Healthcare Provider Details

I. General information

NPI: 1851507735
Provider Name (Legal Business Name): LAVONNE C PINEDA D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 WESTWOOD DR STE C
SAN JOSE CA
95125-5114
US

IV. Provider business mailing address

1620 WESTWOOD DR STE C
SAN JOSE CA
95125-5114
US

V. Phone/Fax

Practice location:
  • Phone: 408-448-4070
  • Fax: 408-904-6166
Mailing address:
  • Phone: 408-448-4070
  • Fax: 408-904-6166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC27509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: